RN Coordinator Pediatric Fetal Cardiovascular

%

of time

Essential Function (Yes/No)

Key Responsibilities

(To be completed by Supervisor)

50

CLINICAL KNOWLEDGE/SKILLS MANAGEMENT

A. Clinical Knowledge

1. Assist in coordinating new patient referrals by conducting phone intake, triaging according to practice guidelines and reviewing PHC criteria to ensure patient is appropriate for the clinic.
2. Assesses, plans, implements, and evaluates appropriate interventions for patients referred to the PHC
3. Integrates nursing theory, research, and knowledge of congenital anomalies
4. Maintains knowledge base consistent with the advances in treatment related to fetal and pediatric diagnosis and therapy

B. Clinical Skill

1. Performs priority technical procedures required by the practice assignment and does so safely, legally, effectively, and efficiently.
2. Utilizes computer technology for, and maintains confidentiality of data collection, documentation, communication and research. Proficient in Apex.
3. Is competent, and participates, in research protocols as dictated by specific departments.
4. Assists in informed consent process, screening potential patients for clinical trials, assurance of adherence to protocol inclusion and exclusion criteria.

C. Clinical Organization

1. Manages clinical situations with advanced skills, insuring the incorporations of patients/families' physical, psychosocial, and cultural needs.
2. Utilizes the nursing process in providing care for a group of patients in accordance with all Medical Center and Ambulatory Services Policies and Procedures.
3. Establishes and/or revise priorities for job/patient care activities based on acuity, visit volume, resource availability, patient/family preference, and scheduled procedures.
4. Seeks consultation, supervision, and/or assistance when unable to perform procedures effectively, safely, or independently.

D. Patient Care Management

1. Functions as patient advocate and facilitates patient/family participation in decisions regarding their care. Is a resource to patients and families.
2. Supervises patient care and delegates appropriate components in a manner that promotes efficiency, teamwork and optimal patient care outcomes.
3. Evaluates and provides consistent and timely feedback to members of the health care team and Practice Director regarding the quality of patient care.
4. Initiates or maintains interventions to assure continuity of safe/effective care for patients:

between practices within hospitalization period

care agencies

1. Functions as contact person to triage patient care requests and referrals to clinic.
2. For hospitalized patients, follow the patient while hospitalized, and actively engage in potential disposition changes to assure an appropriate discharge.
3. Provide timely ongoing contact and follow-up with patient to ensure understanding of condition/clinical status, procedure, plan of care, and need for follow-up care.
4. Conduct ongoing contact and follow-up with post-acute care providers and other providers on a timely basis and notify providers or readmissions and significant clinical status changes as appropriate.
5. Work with PHC providers to develop and implement care management plans to improve patient health by working closely with patients' primary care physicians and other health care providers.
6. Interact with third party payors to provide rational for proposed treatment plans.
7. Act as a referral liaison with other services, departments and external services to assist in the coordination of care among multiple health care providers and community agencies, and across healthcare settings, including inpatient, post-acute care, and ambulatory settings.

20

NURSING PROCESS/DOCUMENTATION

Meets Medical Center documentation standards as evidence by documentation of the following:

A. Assessment

1. Contributes to data collection associated with the pregnancy complication
2. Screens and assesses patients for pain.
3. Screens and assesses patients for complications.

B. Planning

1. Prioritizes patient needs and helps patient formulate plan of care.
2. Assists members of health care team in the formulation and implementation of the patient's plan of care.

C. Implementing

1. Prepares patients for and instructs them about specific diagnostic and therapeutic procedures and treatments.
2. Responds and participates in the management of emergency clinical issues.

D. Evaluating

1. Documents patient outcomes and responses to nursing interventions.
2. Utilizes theoretical knowledge and clinical skill to develop alternate approaches to patient and family care.

E. Teaching

1. Identifies patient, family and/or patient's caregiver learning needs and potential barriers to learning and documents on teaching records or on flow sheets.
2. Identifies patient, family and/or patient's caregiver teaching interventions specific to patient's diagnosis and ability to learn, collaborating with other disciplines as appropriate.
3. Involves patient, family, and/or the patient's caregiver in teaching.
4. Participates in the evaluation and revision of patient education materials.
5. Evaluates the patient, family and/or patient caregiver's response to teaching.

15

EVIDENCE-BASED PRACTICE

1. Obtain patient results and input information into database.
2. Obtain follow up information on patients and input into fetal database.
3. Review current literature on fetal diagnosis in order to ensure quality care for patients.
4. Participation in the Fetal Treatment Center (FTC) Best Practices Committee.

Participate collaborate with PHC staff and providers to achieve department as well as organizational goals.

10

PROFESSIONALISM

A. Professional Development

1. Identifies and meets own educational needs to enhance area of practice.

B. Work Related Policies

1. Maintains current California RN license, CPR and specialty certification and present proof prior to expiration, per policy.
2. Meets annual review requirements.
3. Meets annual PPD or chest exam requirements.
4. Meets work schedule commitment.
5. Follows practice guidelines regarding attendance.
6. Maintains flexibility in relation to patient assignments, shift assignment and work assignment.
7. Adheres to dress code, including appropriate identification.
8. Complies with practice related policies.
9. Knowledgeable about and complies with all applicable infection control, health and safety policies and procedures as implemented by the Ambulatory Services and the Medical Center.

C. Professional Reliability

1. Articulates practice/departmental goals and philosophy.
2. Participates in practice/department committees, including Performance Improvement.
3. Complies with activities mandated by JCAHO/Title 22.
4. Maintains knowledge of and adheres to established clinical and administrative policies and procedures.
5. Ensures protection of patient rights and confidentiality.
6. Supports Medical Center cost containment efforts.
7. Attends and participates in at least 75% of PHC staff meetings.
8. Reads meeting materials and other departmental communications and integrates practice.
9. Promotes and participates in research activities to enhance patient care.

D. Communication

1. Responds to the emotional needs of patients, families and/or caregivers by demonstrating sensitivity to their sociocultural dynamics.
2. Interacts with patients, families, caregivers and staff in a supportive, calm, and therapeutic manner.
3. Demonstrates courtesy, common sense and follow through in all telephone communications, maintaining the telephone standards established be the Medical Center.
4. Listens respectfully to the ideas, opinions and feelings of others.
5. Demonstrates sensitivity, respect, tact and diplomacy in all interactions.
6. Communicates and accepts constructive feedback in a manner that promotes a positive outcome and supportive work environment.
7. Utilizes advanced interpersonal skills to facilitate problem resolution with members of the health care team, patients and their families.
8. Utilizes appropriate chain of command in problem resolution, as identified in the organizational chart and Administrative manual.
9. Responds to patients, providers and care team phone calls, emails, In-Baskets, in a prompt manner. Documentation is thorough.

5

LEADERSHIP

A. Uses an Effective Approach with Patient and Unit-related Problems

1. Identifies actual and potential problems and participates in formulation/implementation of a plan for resolution of problems using appropriate resources.
2. Reports unresolved patient and practice related problems to appropriate individual(s) and/or department.
3. Acts as a resource to other staff members in problem identification/resolution and current issues in own clinical area.
4. Delegates duties and guides personnel in patient care delivery to ensure safe and individualized patient care.

B. Fosters a Collaborative Approach to patient and Staff-related Issues

1. Acts as a reliable and approachable role model/mentor for staff and students at a level appropriate to own stage of professional development.
2. Incorporates new procedures/policies, knowledge of equipment and medical products into one's own and other's clinical practice.
3. Recognizes and utilizes talents and strengths of staff members to improve care to

patients.

100%

Total